NPI | 1831367200 |
---|---|
Entity Type | Organization |
Authorized Contact | OLIVIA GARTON Administrator 304-925-9300 |
Organization Subpart ? | No |
Primary Taxonomy | 207LP2900X Anesthesiology, Pain Medicine |
Additional Taxonomies | 261QP3300X Clinic/Center, Pain (Licence: WV 12738) |
Enumeration Date | 2008-02-19 |
Last Update Date | 2023-01-12 |